Healthcare Provider Details

I. General information

NPI: 1215575394
Provider Name (Legal Business Name): EASTERN IOWA REHABILITATION HOSPITAL, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/19/2019
Last Update Date: 07/24/2025
Certification Date: 07/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2801 HEARTLAND DRIVE
CORALVILLE IA
52241
US

IV. Provider business mailing address

2801 HEARTLAND DR
CORALVILLE IA
52241-2733
US

V. Phone/Fax

Practice location:
  • Phone: 319-645-4001
  • Fax:
Mailing address:
  • Phone: 319-645-4001
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code283X00000X
TaxonomyRehabilitation Hospital
License Number
License Number State

VIII. Authorized Official

Name: CHARLOTTE LAWRENCE
Title or Position: SECRETARY
Credential:
Phone: 615-920-7688